Is this Cheilitis? (as detailed as possible) : DermatologyQuestions

First, I want to apologize for this very lengthy put up as a result of I am attempting to be as detailed as potential. I’m fairly pressured about my scenario to the purpose the place it impacts my consuming habits. I might actually admire it if a dermatologist right here may also help me or give me any recommendation.

r/DermatologyQuestions - Is this Cheilitis? (as detailed as possible)
r/DermatologyQuestions - Is this Cheilitis? (as detailed as possible)
r/DermatologyQuestions - Is this Cheilitis? (as detailed as possible)

I had not used any treatment for a complete month and it has unfold to the proper nook of my lips.

  1. This began September 2019. My household physician prescribed me 1% Loprox cream which is an antifungal topical therapy. It really works to do away with the irritation (the bumps, redness, itchiness, stinging, actually all my signs). Nevertheless it at all times comes again 3-Four days after I cease making use of it, even after I use it 2x/day for 4-6 weeks as directed. And so, he referred me to a dermatologist.

  2. My dermatologist first advised me I’ve perioral dermatitis. I assumed it wasn’t however didn’t say something to her as a result of effectively, she’s an expert and so I should not undermine an expert’s experience. That is STRICTLY on my lips, the vermillion border and spreads to the physique of my lips. She prescribed me Elidel, which made it even worse. A number of days in the past I had a telephone appointment along with her, confirmed her the photographs as proven above, and he or she dismissed my suggestion that I’ve completed tons of analysis to search out that it might probably be some type of cheilitis (I’m conscious there are various kinds of cheilitis, and never simply angular) and requested her if she might confirm the chance. Nevertheless, she advised me cheilitis is fungal, and in my case, it’s not fungal. She is speaking about angular cheilitis. I am confused as a result of the Loprox cream helped to take care of it, however on the similar time I additionally might agree along with her as a result of the irritation retains coming again. She then prescribed me Noritate, a topical therapy for rosacea and is an antibiotic.

It’s my 2nd day utilizing it, and it does nothing for me, or makes it worse.

I additionally wish to take into account the lip balms I am utilizing may be agitating my lips much more so here’s a checklist of lip balms I’ve used since September 2019 (when it first began), so as. I don’t put on lipstick typically, and I have never worn lipstick for a couple of months now as a consequence of quarantine and having nowhere to go. Making an attempt new lip balms imply that the earlier lip balm has agitated my lips or made it worse, if not counting on loprox cream.

  • ChapStick – Basic Spearmint

  • Vaseline Lip Remedy – Authentic Tin

  • Blistex – Medicated Lip Balm (SPF 15)

  • Eucerin Aquaphor – Therapeutic Ointment (Multipurpose)

I checked out all these substances, noticed that the one widespread ingredient was petrolatum. So I attempted in search of lip balms with no petrolatum, equivalent to beeswax.

  • Burt’s Bee’s Moisturizing Lip Balm – Vanilla Bean (at this level, I have been advised to keep away from perfume)

  • La Roche Posay – Cicaplast Levres (CURRENTLY USING – Does not moisturize in addition to Aquaphor. Nonetheless cannot inform whether or not my lips could be agitated by this or not)

A number of days in the past, my dermatologist additionally advised me to keep away from citrus. Nevertheless, I have never been consuming fruits for 6 months (ranging from September 2019) and have simply began to take action (solely oranges) final month as a result of I’m allergic to many fruits. Due to this fact, I do not assume this is a matter since it has been infected even after I by no means ate the fruits I’m consuming at present.

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EDIT Jul 9, 2020: i’ve realized there’s steroid blended into my loprox cream that i’ve saved utilizing time and again to suppress the irritation. and so, i have been doing TSW for a few month. nonetheless, i do not know the ROOT trigger that made my lips infected within the first place, and can start to search out out within the subsequent couple of months.

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